National Provider Identifier

Kevin B. Wynne, O.D.

Kevin B. Wynne, O.D. is listed in the NPPES registry with a primary specialty of Eyewear Supplier in Rochester, NY and a listed phone number of (585) 654-9200.

NPI 1275658924Rochester, NYEyewear Supplier

Source: public NPPES record, last updated August 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1275658924
Provider Type
Organization
Primary Specialty
Eyewear Supplier
Enumeration Date
March 20, 2007
Last Updated
August 22, 2020

Practice Location

  • 1524 Culver RD
  • Rochester, NY 14609-4241

Phone: (585) 654-9200

Authorized Official

Name
Dr. Kevin Bradley Wynne
Title
Optometrist
Credentials
O.D.
Phone
(585) 654-9200

Specialties

  • Eyewear Supplier (332H00000X)

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Organization Overview

Kevin B. Wynne, O.D. is a Rochester-area optometry practice publicly operating as Wynne Eye Associates. The practice describes itself as a family eye care office serving Pittsford, Fairport, Penfield, Webster, and the broader Rochester area, with roots dating to 1966; Dr. Kevin B. Wynne joined the office in 1992, and Dr. Bert Boeckmann’s practice merged into it in 2008. Dr. Wynne’s practice biography also notes low-vision specialist certification and prior clinical work with Strong Hospital programs.

Full Record
NPI
1275658924
Entity Type
Organization
Organization Name
Kevin B. Wynne, O.D.
Mailing Street Address
1524 Culver RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-4241
Mailing Country
US
Mailing Phone
(585) 654-9200
Practice Street Address
1524 Culver RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-4241
Practice Country
US
Practice Phone
(585) 654-9200
Enumeration Date
March 20, 2007
Last Updated
August 22, 2020
Authorized Official Last Name
Wynne
Authorized Official First Name
Kevin
Authorized Official Middle Name
Bradley
Authorized Official Title
Optometrist
Authorized Official Phone
(585) 654-9200
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
O.D.
Taxonomies
Eyewear Supplier (332H00000X)
Other Identifiers
G0187194590 (NY, Blue Choice Group Number)